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' PRODECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> , / (541) 682-5560 <br /> Service ID: ~ ~ SID PB V GL ~ JC JE N~~ <br /> Project title: <br /> (lo tion an work de~Grip on ~ .,rr-C.,, w i <br /> Project manager /contact /private engineer: ~ ~ Y <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) !9 (width) 9® <br /> Sanitary sewer ~ Storm sewer I) ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> r' <br /> APPROVED: <br /> Project Manage ~°y ~ Date~° <br /> Principal Engineer Date <br /> Facilities Man er Date <br /> Ciry Engineer ~L-- Date ~'"Z~ 'dam <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~~0~02 ACK ~~~Q XX~~C x <br /> GL Title ~D~l~ ~"1 N~ <br /> Assigned by Date lD~QS'~~~ <br /> l~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />